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Contact Information

MUSCLE AND NERVE PA
971 LAKELAND DRIVE
SUITE 560
JACKSON, MS39216
 Phone: 601-982-9826
 Fax: 601-982-9826
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Neurophysiology

2084N0600X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for MUSCLE AND NERVE PA · (Female)

NPI Number 1346370921
Status Active
Credentials
Entity Individual
Enumeration date 03/06/2007
Last updated 01/05/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers
  • MS License # 18286
  • MS Medicaid 06772854
  • MS Medicaid 09014965
  • Other DC2890 GROUP RAILROAD MEDICARE
  • Other 130019995 RAILROAD MEDICARE
  • Other P00159488 RAILROAD MEDICARE
  • Other 0530055 UNITED HEALTH CARE
  • Other 169058500 US DEPT OF LABOR
  • MS Other 409393032 BCBS OF MS
  • MS Other 426159735B BCBS OF MS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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